HIV test (4th generation) cost in Lexington, NE
In Lexington, NE, 1 hospital lists a cash price for HIV-1/2 antigen and antibody combination blood test (4th generation): from $37.73 to $37.73, with a median of $37.73. Across Nebraska, the median is $72.14 at 33 hospitals.
Cash prices at 1 facility for code 87389, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between Dec 28, 2025 and Dec 28, 2025.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Lexington Regional Health Center Lexington, NE · (308) 324-5651 HIV 1/2 Ag/Ab Combo MHP | $37.73 | $39.30 | $19.65–$39.30 | 4% | Dec 28, 2025 source file |
Outpatient: lowest $37.73, median $37.73, highest $37.73.
Cash or insurance?
At the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.
What it is
This lab test checks blood for the HIV-1 p24 antigen and for antibodies to HIV-1 and HIV-2 at the same time. Because it detects the antigen, it can find an infection earlier than antibody-only tests and is the standard first test for HIV screening.
What the price covers
The price usually covers the screening test only. The blood draw is often billed separately, and a positive result needs a follow-up confirmation test with its own charge.